Insurance fraud investigations by’CRI GROUP™ cover the full range of cases, from healthcare fraud to disability and even fake death claims. Our experts are trained to look for the tell-tale signs of fraud: they can view claims, and medical and hospital records, conduct interviews, examine statements and documents, as well as perform on-site inspections. Insurance fraud is something that no company can afford.
We will work with you and all appropriate insurance personnel or an insurance fraud investigator to achieve the results you need in a timely, discreet manner through private investigation services. CRI™ agents bring their investigative training to careful use in every engagement, protecting your confidentiality while uncovering the facts of the case.
CRI GROUP™ handles several forms of investigations, including, but not limited to:
One of the most challenging tasks facing any organisation that has fallen victim to fraud, white-collar crime, or corruption that leads to a financial loss is how to recover the stolen funds. This is a task best suited to experts who can trace assets and help you locate and recover funds and limit your financial damage.
The globalization of business has helped facilitate the movement of assets, and funds can be transferred around the world instantaneously. Unfortunately, it is relatively easy to set up complex corporate structures to hide the true ownership of assets.
This is where CRI Group™ comes in. Our investigators are trained to uncover hidden funds and assets and follow the money trail no matter how complex it may be. Whether taking legal action to recover property from a former business partner, seeking the return of funds misappropriated by corrupt government officials, or trying to enforce a legal judgment awarding financial damages, our experts will work on your behalf to trace your funds or assets.
CRI Group™’s insurance fraud investigations are based on a thorough approach that includes site visits and leaving no stone unturned. This is how the process will typically proceed:
Every type of insurance is vulnerable to insurance fraud. Insurance fraud cases are often committed by opportunists – such as claim fraud, where perpetrators invent or exaggerate a claim; or application fraud, where they deliberately or recklessly provide false information when applying for insurance. There are well-known cases of highly organised criminal gangs with money-making enterprises based on insurance fraud.
Insurance fraud cases cover a wide range of schemes and crimes, intended to enrich the fraudsters at the expense of insurance providers and other innocent victims. With the enormous liability presented by insurance fraud, every organisation should address the risk in their due diligence and fraud prevention programs.
The 10 most common types of insurance fraud include:
The 7 red flags of fire loss insurance claim. If your answer is yes to any of these red flags, then you may have a case of insurance fraud in your hands:
The 4 red flags of hospital billing insurance claims. If your answer is yes to any of these red flags, then you may have a case of insurance fraud on your hands:
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